Florida Auto PIP ​/ Medical Payments Adjuster

Florida Auto PIP / Medical Payments Adjuster We are seeking a detail-oriented and experienced Florida Auto PIP / Medical Payments Adjuster to join our claims team. This position is responsible for handling Personal Injury Protection (PIP) and Medical Payments claims in accordance with Florida statutes, policy provisions, Medicaid and Medicare fee schedule and company guidelines. The ideal candidate will have strong knowledge of Florida PIP regulations, and the ability to manage claims efficiently while providing excellent service to insureds and medical providers.

Key Responsibilities:

Review medical bills, records, and documentation for accuracy and compliance

Apply Florida PIP statutes and fee schedules to determine appropriate payments

Communicate with insureds, claimants, attorneys, and medical providers

Good faith settlements/negotiations with provides offices

Document claim activity and maintain accurate claim files

Issue payments and explanations of benefits (EOBs) as appropriate

Identify potential fraud indicators and escalate when necessary

Maintain compliance with company procedures and regulatory requirements

Manage claim workload to meet productivity and quality standards

Qualifications:

Some Florida PIP or Medical Payments claims handling experience

Some knowledge of Florida PIP statutes and fee schedules

Experience reviewing medical bills and medical documentation

Excellent organizational and time management skills

Strong bilingual written and verbal communication skills

Ability to work independently and manage a high-volume caseload

Claims system experience preferred

Preferred:

Florida Adjuster License (620 or equivalent)

Experience with medical payments, excel and/or medical coding ABOUT USWe are a fast-growing, bilingual insurance agency serving clients across Florida and Texas! Our team helps families and businesses protect what matters most — through auto, home, life, and commercial insurance solutions built around each client’s needs.

We are not your average insurance agency. We invest in our people, recognize performance, and create real paths for growth — from your first day in the office to owning your own location. If you are bilingual, driven, and want a career that rewards your work, you have found the right team.

WHY JOIN USWe know talented bilingual insurance professionals have options. Here is what makes us different:✓ Real base pay — Competitive salary based on experience and license held✓ Paid Time Off — 1 week PTO to start, growing with tenure✓ Medical Insurance — Comprehensive health coverage for you✓ Sick Time — Dedicated sick time separate from your PTO✓ Dental & Vision — Comprehensive dental and vision coverage✓ Performance Bonus — Structured plan tied directly to your results✓ Supplemental Plans — Voluntary supplemental options available✓ Employee Referral — Earn rewards for bringing great talent in✓ Basic Life Insurance — Company-paid life insurance✓ Career Growth Path — CSR Agent Team Lead Manager Owner✓ 401(k) with Match — Invest in your retirement savings with us!✓

Training & Development — Ongoing sales, product, customer service & compliance training OUR CORE VALUES“The harder we work, the luckier we are.”️PROTECT Safety for our communities

We ensure the safety of our communities by offering robust insurance options for life’s many facets. Quality and comprehensiveness are the hallmarks of our coverage.

HELPSwift, personalized support

Our agents are ready to assist with any insurance questions, providing swift and personalized support to guide clients through their options.

PROMOTE Investing in our workforce

We invest in the future of our workforce with career paths and training for aspiring agents, contributing to the growth of the insurance sector.

BUILD Trust & transparency

Our client relationships are built on trust and transparency, with each interaction tailored to meet individual insurance needs.

EDUCATE & GUIDE Clarity & empowerment

Clarity and empowerment are the goals of our resources, aimed at helping clients make informed insurance decisions.

PROVIDE Accessible solutions

We deliver affordable and innovative insurance solutions made readily accessible through tools like our app, enhancing convenience for our clients.
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